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The health risk to humans, aquatic life and fauna, posed by endocrine-disrupting chemicals (EDCs) in our
environment, water, food, and consumer products has been underestimated and difficult to measure with
currently existing technologies. EDCs interfere with normal function of the endocrine system and have been
associated with developmental defects, metabolic disorders, immune dysfunction, and cancer. Detection and
monitoring of water sources for steroidal EDCs frequently relies on a laborious analysis of chemical structures
using HPLC, MS/GS and related technologies. These are very costly, time consuming and frequently do not lead
to identification of a chemical structure due to a natural biodiversity of modifications. Steroid hormones, such as
estrogens, have been detected in water sources, and their deleterious effects are well documented. Considering
that many natural sterols are rapidly metabolized, their derivatives cannot be easily identified and are not present
in the currently existing libraries. Thus, their levels are not monitored or regulated. In addition, it is unclear
whether the EDCs detected by chemical methods elicit specific biological responses in mammalian systems.
The testing for biological activity of glucocorticoids and many other steroid EDCs had not been previously
performed. To overcome these obstacles, we developed a high-throughput assay for biological testing of EDCs
using mammalian cell lines that express GFP-tagged nuclear steroid receptor constructs. This assay is based
on translocation of a fluorescent marker from the cytoplasm to the nucleus in the presence of the hormone or
the contaminant(s). Using this assay, combined with studies on transcriptional activation, we screened water
samples collected from 14 states in the US. We found androgen activity in 35% of samples, and a previously
unrecognized glucocorticoid (GC) activity in 27% of the samples. Androgen receptor (AR)-dependent
transcriptional activation was detected for AR-responsive genes. Glucocorticoid receptor (GR)-dependent
transcriptional activation was also detected using several targets. Induction of a circadian rhythm gene, Per1, was
detected at concentrations equal to those present in a water sample. This site was positive from both, a sample
from extraction of a filter (POCIS membranes) as well as a grab sample obtained several years later. A previous
report from China indicated that environmentally relevant concentrations of synthetic GCs have deleterious
effects on fish. The anti-inflammatory properties of GCs make them highly prescribed pharmaceuticals and
these could readily enter water sources. Moreover, waste water treatment plants (WWTP) are not capable of
efficiently removing steroids and it is well documented that anti-inflammatory chemicals are among the most
resistant to treatment (30-40% of removal rate). A growing body of epidemiological and animal studies suggests
that prenatal and early life conditions contribute to health later in life. Exposures to stress hormones, including
glucocorticoids, during the prenatal period have programming effects on the hypothalamic-pituitary-adrenal
axis, brain neurotransmitter systems, and cognitive abilities of the offspring.
We conclude that wide-spread contamination with steroids is a possible health hazard not only for the
aquatic ecosystems, but may also negatively impact the human population. Our automated, inexpensive and
highly reproducible assay for detection of biologically active steroidal EDCs is suitable for a wide application
on water and other environmental samples. We are seeking to establish a global screening of water samples and
develop standards for safety and monitoring of water contamination with EDCs.
Biography
Varticovski is a Hematologist/Oncologist with over 20 years of clinical and laboratory experience who joined NCI in 2003 where
she directed the Preclinical Models Strategy Team, Molecular Targeting Unit, Lung Cancer Stem Cell Core, and participated in
clinical trials at the NCI for patients with drug-resistant tumors. She is a member of ASH, ASCO and AACR. Her research made
long-standing contributions to cancer drug development, mechanisms of drug resistance, and cancer stem cells. Her current
research is in mapping global chromatin landscape by DNaseI hypersensitivity using nuclear receptors as a model
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